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Connecticut rates for HCPCS 33985

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.91 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.99 / $848.91 / $1,251.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.89 / $1,151.72 / $1,318.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.64 / $878.08 / $1,366.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.03 / $720.03 / $830.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.65 / $864.31 / $1,620.14